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腹腔镜联合输尿管镜治疗儿童胆管结石合并胆囊结石:1例报告并文献复习

Laparoscope combined with ureteroscope in the treatment of bile duct stones and cholecystolithiasis in a child: a case report and literature review.

作者信息

Fu Chang, Jin Hengwei, Fang Lijun, Xu Hongji

机构信息

Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun, China.

Department of General Surgery, Liaoyuan People's Hospital, Liaoyuan, China.

出版信息

Front Med (Lausanne). 2024 Oct 3;11:1429127. doi: 10.3389/fmed.2024.1429127. eCollection 2024.

DOI:10.3389/fmed.2024.1429127
PMID:39421867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11483362/
Abstract

Cholecystolithiasis combined with bile duct stones is more and more common in children, but the surgical treatment is still controversial. We report on a 3-year-old boy, who underwent laparoscope combined with ureteroscope for choledocholithiasis with cholecystolithiasis. This combination therapy offers the possibility to treat pediatric patients with cholecystolithiasis and bile duct stones in low-resource settings where ERCP experience and child-specific surgical instruments are not available. Additionally, a comprehensive review of previous studies was conducted to summarize the surgical treatments. The surgical treatment of children should be made according to the specific situation to maximize the success of the operation and reduce the risk.

摘要

胆囊结石合并胆管结石在儿童中越来越常见,但手术治疗仍存在争议。我们报告了一名3岁男孩,他接受了腹腔镜联合输尿管镜治疗胆总管结石合并胆囊结石。这种联合治疗为在缺乏内镜逆行胰胆管造影(ERCP)经验和儿童专用手术器械的资源有限环境中治疗患有胆囊结石和胆管结石的儿科患者提供了可能性。此外,对先前的研究进行了全面综述以总结手术治疗方法。儿童的手术治疗应根据具体情况进行,以最大限度地提高手术成功率并降低风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/952f38a1caa0/fmed-11-1429127-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/9a24eebefdd9/fmed-11-1429127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/5b4a5e656076/fmed-11-1429127-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/5a19fbb00ee4/fmed-11-1429127-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/97988ea42eee/fmed-11-1429127-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/952f38a1caa0/fmed-11-1429127-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/9a24eebefdd9/fmed-11-1429127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/5b4a5e656076/fmed-11-1429127-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/5a19fbb00ee4/fmed-11-1429127-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/97988ea42eee/fmed-11-1429127-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166f/11483362/952f38a1caa0/fmed-11-1429127-g005.jpg

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本文引用的文献

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J Pediatr Surg. 2024 Mar;59(3):389-392. doi: 10.1016/j.jpedsurg.2023.10.046. Epub 2023 Oct 21.
2
Stone removal in a 5-year-old child with extrahepatic biliary obstruction using ERCP: A case report and a mini-review.使用内镜逆行胰胆管造影术对一名5岁肝外胆管梗阻患儿进行结石清除:病例报告及文献综述。
Clin Case Rep. 2023 Jul 27;11(8):e7620. doi: 10.1002/ccr3.7620. eCollection 2023 Aug.
3
Echo-Endoscopy Combined with Virtual Reality: A Whole Perspective of Laparoscopic Common Bile Duct Exploration in Children.
超声内镜联合虚拟现实技术:儿童腹腔镜胆总管探查术的全景视角
Children (Basel). 2023 Apr 21;10(4):760. doi: 10.3390/children10040760.
4
The Etiology of Cholelithiasis in Children and Adolescents-A Literature Review.儿童和青少年胆石症的病因——文献综述。
Int J Mol Sci. 2022 Nov 2;23(21):13376. doi: 10.3390/ijms232113376.
5
The Laparoscopic Cholecystectomy and Common Bile Duct Exploration: A Single-Step Treatment of Pediatric Cholelithiasis and Choledocholithiasis.腹腔镜胆囊切除术与胆总管探查术:小儿胆石症和胆总管结石的单步治疗法
Children (Basel). 2022 Oct 19;9(10):1583. doi: 10.3390/children9101583.
6
Laparo-Endoscopic Rendez-Vous in the Treatment of Cholecysto-Choledocolithiasis in the Pediatric Population.腹腔镜-内镜联合入路治疗小儿胆石症合并胆石性胆管炎
J Pediatr Gastroenterol Nutr. 2022 Jun 1;74(6):819-822. doi: 10.1097/MPG.0000000000003444. Epub 2022 Mar 7.
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Endoscopic Retrograde Cholangiopancreatography in Pediatric Patients.小儿患者的内镜逆行胰胆管造影术
J Laparoendosc Adv Surg Tech A. 2022 Mar;32(3):320-324. doi: 10.1089/lap.2021.0517. Epub 2022 Jan 17.
8
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J Clin Ultrasound. 2022 Feb;50(2):247-253. doi: 10.1002/jcu.23136. Epub 2022 Jan 7.
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